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Iowa rates for HCPCS L3900

Wrist Hand Finger Orthosis Dynamic Flexor Hinge Reciprocal Wrist Extension/ Flexion Finger Flexion/Extension Wrist Or Finger Driven Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.83 / $1,234.23 / $1,234.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.24 / $912.99 / $1,538.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $1,962.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.35 / $2,059.13 / $2,573.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.86 / $1,722.25 / $1,784.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.04 / $2,098.19 / $7,437.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.65 / $890.28 / $2,340.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.26 / $1,962.99 / $2,352.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.25 / $2,167.05 / $3,751.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.54 / $1,911.24 / $3,234.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.31 / $890.28 / $2,309.21
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.31 / $1,695.31 / $1,695.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.29 / $1,695.31 / $1,695.31